Individual
AMELY AMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOLE PROVIDER
Contact information
Practice address
1887 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5530
(772) 463-0444
Mailing address
1009 FAIRPLAY AVE NW, PALM BAY, FL 32907-9443
(561) 543-1511
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
05/07/2025
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